Organization Active NPI

Plaza OB-GYN Associates

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1740384908
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E0795 Issued in TX
Legal business name
PLAZA OB-GYN ASSOCIATES
Practice address
1801 Binz Street
Suite 500
Houston, TX 77004
Phone
(713) 522-3333
Fax
(713) 522-4434
NPI assigned
Sep 11, 2006
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carly Nicole Garcia
Title
Practice Administrator
Phone
(346) 771-4826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E0795 TX Primary

Addresses

Primary practice location

1801 Binz Street
Suite 500
Houston, TX 77004

Mailing address

1801 Binz Street
Suite 500
Houston, TX 77004
Phone (713) 522-3333

Other identifiers 2

IdentifierTypeStateIssuer
080215901MedicaidTX
80215901MedicaidTX

Other names 1

  • Plaza OB-GYN Associates, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000167 TX Part B Supplier - Clinic/Group Practice 3779558655 Receives reassigned benefits from 9 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0489534Plaza OB GYN Associates, PA1801 Binz #500, Houston, TX 77004Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1801 Binz St
Ste 500
Houston, TX 77004
Phone (713) 522-3333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHBJBD

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1740384908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BINZ STREET",
            "address_2": "SUITE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77004",
            "telephone_number": "713-522-3333",
            "fax_number": "713-522-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BINZ STREET",
            "address_2": "SUITE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77004",
            "telephone_number": "713-522-3333",
            "fax_number": "713-522-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA OB-GYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "346-771-4826"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E0795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080215901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80215901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza OB-GYN Associates, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Plaza OB-GYN Associates, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.